HomeMy WebLinkAboutPermit Electrical 1995-06-28The following prolecl
zoning, and doos not
as Bubmltted has the fol
require sp€ci{lc land use
:IPRItilOFIELO
ELtrCTRICAL PERI{IT API'LICATION
approval.
225 IIIFTH STREET
SPRTNGI.'IELD, OREGON 974
INSPECf,ION REQUESTz 72
oFFICE: 726-3759
L
Authorlzed
1. LOCATION OF INST
-f tr//2 A
LEGAL
JOB DESCRIPT]ON
.r'ao t?e/?z- 5o</fd
Permits are non-transferable and expireif uork is not started vithin 180 daysof issuance or if vork is suspended for
1 B0 days.
2. CONTRACTOR INSTALLATTON ONLY B.
Electrical Contractor ABLE ELECTRIC
Address 5511 MAIN
Ci ty SPRINGFIELD Phone '126-6701
Supervisor License Number 3023S
[::piration Date 10-1-95
C
Constr Contr. Number 92506
Expiration Date 7-16-95
Signature of Superviring Electrician
Add ress Zoo.
Ciry ffy'/2 Zz/27 Phone
OVNER INSTALLATION
'Ihe installation is being made on
property I o\rn vhich is not intendedfor sa]e, lease or rent.
0vners Signature:
DATE:
RECEI
SCMDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
I tems Cos t
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feedersfnstallation, Alterationsor Relocation:
17
City Job Number
not
40.
40.
20.
36.
v
00
00
00
00
I
200 amps or less /201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
-Reconr-rect 0n1y
$ s0.00
s 60.00
s 100. 00
s130. 00
$300.00s 40.00
Sum
(o oo
00-
" aEovE-
included )
Temporary Services or FeedersInstallation, Alteration or Relocation
200 arnps or less $20L amps to 400 amps
-
S
Over 40L to 600 amps
-
S
Over 600 amps or 1,000-vof ts s
0040
55.0
80.0
ee rrB
D. Branch Circui ts
Nev, Alteration or Extension Per Paqe1.
One Circui t
Each Addi tionalCircuit or vith Serviceor Feeder Permi t
$ 3s.00
$ 2.00
E
5
MiscelLaneous (Service/feeder
-Each installation
Pump or irrigation SSign/Outline Lighting- S
Limi ted Energy/Res
-
SLimited Energy/Comm S
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Admini.s trative Fee
TOTAL
;f a uo
1 <o
ITBCBtrVID I]Y:f .a'oo
srsndurc Mru\coxpr.ErE FEE
u\./ners llane az)z r2€{, Z-ztx,az€tl